Appreciation Pin & Honor Pin Nomination Form

**Please note that all nominations are due by 5:00 p.m. on February 9, 2017.

The Appreciation Pin and Honor Pin recognize an individual's exemplary service in support of delivering the Girl Scout Leadership Experience. This service, which has had measurable impact on one geographic area of service, helps to reach and surpass the mission-delivery goals of the area.

Provided service above and beyond the expectations for the position held.

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Provided exemplary service in support of delivering the Girl Scout Leadership Experience.

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Helped reach and surpass the missioin-delivery goals for the service unit(s).

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For Apprecitation Pin: Service had a measurable impact on one or more service units with the council jurisdiction.

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For Honor Pin: Service had a measurable impact on two or more service units with the council jurisdiction.

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Please describe what makes this candidate's service above and beyond expectation for the position as indicated on the candidate's position description.
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Please cite examples of how the candidate performed exemplary direct or indirect service in support of delivering the Girl Scout Leadership Experience.
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Which of the 15 Outcomes for Girls as set forth by the Girl Scout Leadership Experience did the candidate's actions best support (directly or indirectly)? Please select all that apply.
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Girls develop a strong sense of self.Girls develop positive values.Girls gain practical life skills.Girls seek challenges in the world.Girls develop critical thinking.Girls develop healthy relationships.Girls promote cooperation and team building.Girls can resolve conflicts.Girls advance diversity in a multicultural world.Girls feel connected to their communities, locally and globally.Girls can identify community needs.Girls are resourceful problem solvers.Girls advocate for themselves and others, locally and globally.Girls educate and inspire others to act.Girls feel empowered to make a difference in the world.

How did the candidate support the outcomes selected? Please provide specific examples.
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Which of the service unit's goals did the candidate's actions best support? Please select all that apply.
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How did the candidate support the goals selected? Please provide measurable results of the candidate's support (i.e., increased membership by a specific amount, increased program participation by a specific amount).
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On which Service Units did the nominee make a measurable impact?
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Please attach the following supporting documentation to indicate how the nominee meets the criteria for this award:

Appreciation Pin: One letter of endorsement.
Honor Pin: Two letters of endorsement.